First report of hepatic hematoma after presumed Bothrops envenomation

• Autor(a) principal: Cunha,Fernanda Cristina
• Data de Publicação: 2015
• Outros Autores: Heerdt,Maike, Torrez,Pasesa Pascuala Quispe, França,Francisco Oscar de Siqueira, Molin,Graziela Zibetti Dal, Battisti,Rúbia, Zannin,Marlene
• Tipo de documento: Relatório
• Idioma: eng
• Título da fonte: Revista da Sociedade Brasileira de Medicina Tropical
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822015000500633
• topic: Snakebite; Bothrops envenomation; Hepatic hematoma

ABSTRACTIn Latin America, Bothrops envenomation is responsible for the majority of accidents caused by venomous snakes. Patients usually present local edema, bleeding and coagulopathy. Visceral hemorrhage is extremely rare and considered a challenge for diagnosis and management. We report the first case of hepatic hematoma owing to the bothropic envenomation in a 66-year-old man who was bitten in the left leg. He presented local edema, coagulopathy, and acute kidney injury. Radiological findings suggested hepatic hematoma, with a volume of almost 3 liters. The hepatic hematoma was gradually absorbed without the need for surgical intervention with complete resolution in 8 months.